medrobМедицинская робототехникаMedical Robotics3033-63923033-8115MedINK10.63769/3033-6392-2026-1-1-77-84medrob-46Research ArticleЭНДОМЕТРИОЗENDOMETRIOSISРобот-ассистированная колоректальная резекция по методу NOSE в лечении эндометриозаRobotic-assisted surgery and the NOSE technique in the treatment of colorectal endometriosishttps://orcid.org/0009-0001-3141-3954НефедовП. П.NefyodovP. P.

Павел Петрович Нефедов 

101000 Москва, ул. Покровка, 22а 

Pavel Petrovich Nefyodov 

22a Pokrovka St., Moscow 101000 

https://orcid.org/0000-0001-8734-1673ПоповА. А.PopovA. A.

101000 Москва, ул. Покровка, 22а 

22a Pokrovka St., Moscow 101000 

https://orcid.org/0000-0003-2590-5087ФедоровА. А.FedorovA. A.

101000 Москва, ул. Покровка, 22а 

22a Pokrovka St., Moscow 101000 

https://orcid.org/0000-0001-6816-5360ГлебовТ. А.GlebovT. A.

101000 Москва, ул. Покровка, 22а 

22a Pokrovka St., Moscow 101000 

https://orcid.org/0000-0002-6935-6086СоповаЮ. И.SopovaYu. I.

101000 Москва, ул. Покровка, 22а 

22a Pokrovka St., Moscow 101000 

ГБУЗ МО «Московский областной научно-исследовательский институт акушерства и гинекологии им. акад. В.И. Краснопольского»РоссияV.I. Krasnopolsky Moscow Regional Research Institute of Obstetrics and GynecologyRussian Federation202619042026117784Copyright © Нефедов П.П., Попов А.А., Федоров А.А., Глебов Т.А., Сопова Ю.И., 20262026Нефедов П.П., Попов А.А., Федоров А.А., Глебов Т.А., Сопова Ю.И.Nefyodov P.P., Popov A.A., Fedorov A.A., Glebov T.A., Sopova Y.I.Данная работа распространяется под лицензией Creative Commons Attribution 4.0.This work is licensed under a Creative Commons Attribution 4.0 License.https://www.medrobot-j.com/jour/article/view/46Введение

Введение. NOSE (natural orifice specimen extraction) – новый метод эндоскопической хирургии, при котором удаленный препарат извлекают через естественные отверстия тела. Актуальность изучения робот-ассистированной колоректальной NOSE-резекции обусловлена потребностью в объективной оценке ее преимуществ и безопасности.

Цель исследования – оценить безопасность и краткосрочные клинические результаты робот-ассистированных резекций кишечника с извлечением резецированного препарата через анальный канал у пациенток с колоректальным эндометриозом.

Материалы и методы

Материалы и методы. Проведено ретроспективное одномоментное исследование данных 66 пациенток с подтвержденным глубоким инфильтративным колоректальным эндометриозом. Всем больным выполнена робот-ассистированная колоректальная NOSE-резекция.

Результаты

Результаты. Средний возраст пациенток составил 35,4 года (от 23 до 49 лет). Средний индекс массы тела был равен 23,36 кг/м2 (от 16,65 до 33,12 кг/м2). Операция продолжалась в среднем 144,6 ± 50,1 мин. Средний объем кровопотери составил 124,6 ± 90,8 мл. У 13 пациенток на 2-е сутки после операции отмечено повышение температуры тела до 38°С.

Заключение

Заключение. Робот-ассистированная лапароскопия в сочетании с извлечением препарата через анальный канал является технически выполнимым, безопасным, эффективным подходом к комплексному хирургическому лечению колоректального эндометриоза. Метод имеет лучшие косметические результаты, ускоряет реабилитацию, снижает расход одноразовых инструментов.

Background

Background. Natural orifice specimen extraction (NOSE) is an innovative technique of endoscopic surgery in which with specimen extraction through the natural orifice. The relevance of studying robot-assisted colorectal NOSE resection is driven by the need for an objective assessment of its advantages and safety.

Aim

Aim. To evaluate the safety and short-term clinical outcomes of robotic-assisted bowel resections with specimen extraction through the anal canal in patients with colorectal endometriosis.

Materials and methods

Materials and methods. A retrospective cross-sectional study was conducted based on the analysis of data from 66 patients with confirmed deep infiltrative colorectal endometriosis. All patients underwent robot-assisted colorectal NOSE resection.

Results

Results. The mean age of the patients was 35.4 years (range 23 to 49 years). The mean body mass index was 23.36 kg/m2 (range 16.65 to 33.12 kg/m2). The mean operative time for robotic-assisted colorectal resection using the NOSE technique was 144.6 ± 50.1 min. The mean intraoperative blood loss was 124.6 ± 90.8 mL. On postoperative day 2, 13 patients presented with a body temperature elevation up to 38°C.

Conclusion

Conclusion. Robotic-assisted laparoscopy combined with the NOSE technique is a technically feasible, safe, and effective approach in the comprehensive surgical management of colorectal endometriosis. The technique offers several advantages: reduction in the consumption of disposable instruments, absence of a laparotomic incision, accelerated postoperative rehabilitation.

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The authors declare that there are no conflicts of interest present.